Ind. Code § 27-1-37.5-27
This is the official text of Ind. Code § 27-1-37.5-27, part of Indiana’s Code — part of the compiled statutory law of Indiana, published by the state as "Code." Browse the sections below, each linked to its official government source.
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Utilization review entity's duty to honor certain authorizations
Official statutory text
Sec. 27. (a) A utilization review entity shall honor an authorization that was granted to a covered individual by a previous utilization review entity for at least the initial ninety (90) days of the covered individual's coverage under a new health plan if:
(1) the utilization review entity receives information documenting the authorization from the covered individual or the covered individual's health care provider; and
(2) the authorization is for a health care service that is covered under the new health plan.
(b) During the time period described in subsection (a), a utilization review entity may perform its own review of the prior authorization request.
(c) If there is a change in:
(1) coverage of; or
(2) approval criteria for;
a previously authorized health care service, the change in coverage or approval criteria may not affect a covered individual who received authorization before the effective date of the change for the remainder of the plan year.
(d) A utilization review entity shall continue to honor an authorization that the utilization review entity granted to a covered individual when the covered individual changes products under the same health insurance company.
As added by P.L.144-2025, SEC.35.
(1) the utilization review entity receives information documenting the authorization from the covered individual or the covered individual's health care provider; and
(2) the authorization is for a health care service that is covered under the new health plan.
(b) During the time period described in subsection (a), a utilization review entity may perform its own review of the prior authorization request.
(c) If there is a change in:
(1) coverage of; or
(2) approval criteria for;
a previously authorized health care service, the change in coverage or approval criteria may not affect a covered individual who received authorization before the effective date of the change for the remainder of the plan year.
(d) A utilization review entity shall continue to honor an authorization that the utilization review entity granted to a covered individual when the covered individual changes products under the same health insurance company.
As added by P.L.144-2025, SEC.35.
Status: in_force · Read it on the official government site
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